C-Stem AMT - Pinnacle vs. All other Hybrid hips
Transcript of C-Stem AMT - Pinnacle vs. All other Hybrid hips
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Both groups exclude metal-on-metal and ceramic-on-metal bearings
This report has been produced by the National Joint Registry of England, Wales and Northern Ireland (NJR). It
summarises usage and outcomes associated with DePuy C-Stem AMT - Pinnacle vs. All other Hybrid hips used
in primary hips, based on data collected by the NJR and PROMs data collected by NHS Digital.
This report is subject to the National Joint Registry Supplier Feedback Terms and Conditions Use. In particular,
this analysis must not be released to any third party, unless directly employed by the Supplier, without written
permission of the the Healthcare Quality Improvement Partnership, with the exception of submissions to
approved Regulatory Authorities.
Produced on:
Licensed for use until:
10 December 2019
10 December 2021
ContentsImplant Usage
Patient Details
Reasons for Revision
Kaplan Meier Survival Chart and Analysis
Kaplan Meier Survival Table
Patient Reported Outcomes
Bespoke Implant Report for: DePuy
C-Stem AMT - Pinnacle vs. All other Hybrid hips
NJR Database extract:
Comprising PRIMARY hips implanted up to: 06 October 2019
05 December 2019
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Bespoke Implant Report on: C-Stem AMT - Pinnacle vs. All other Hybrid hips
Implant Usage
GroupPre-
20082008 2009 2010 2011 2012 2013 2014 2015 2016 2017 2018 2019 Total
C-Stem AMT -
Pinnacle303 139 186 280 437 652 861 1369 1738 2138 2560 3166 2953 16782
All other Hybrid hips 25241 9056 9905 10628 11763 13073 15991 19664 21958 25194 27193 27812 22527 240005
Total 25544 9195 10091 10908 12200 13725 16852 21033 23696 27332 29753 30978 25480 256787
NJR Recorded Usage
Totals Recorded in NJRC-Stem AMT -
Pinnacle
All other Hybrid
hips
First usage in the NJR: 23-Jun-2005 01-Apr-2003
Last usage in this dataset: 06-Oct-2019 06-Oct-2019
Maximum implantation time (years): 14.3 16.5
Mean implantation time (years): 3.1 4.9
Procedures 16782 240005
Patients 15595 215243
Centres 170 458
Year of implantation
Consultants 477 2440
Implanting Surgeons 779 4252
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Bespoke Report on:
Patient Details
C-Stem AMT - Pinnacle All other Hybrid hips
Total Procedures 16782 240005
Total Patients 15595 215243
Demographics
Mean age 70.6 69.6
< 50 3.3% 4.7%
50 – 59 9.8% 11.7%
60 – 69 26.7% 28.8%
70 – 79 42.1% 37.0%
≥ 80 18.1% 17.8%
Median BMI 28 28
% BMI information available 71.3% 68.4%
Underweight ( BMI < 18.5) 0.8% 1.0%
Normal (18.5 ≤ BMI < 25) 20.8% 21.6%
Overweight (25 ≤ BMI < 30) 39.7% 39.2%
Obese I (30 ≤ BMI < 35) 25.2% 25.3%
Obese II (35 ≤ BMI < 40) 10.4% 9.6%
Obese III (BMI ≥ 40) 3.2% 3.4%
% Male 37.5% 37.3%
ASA Grades
P1 - Fit and healthy 9.4% 13.5%
P2 - Mild disease not incapacitating 71.3% 68.3%
P3 - Incapacitating systemic disease 18.8% 17.6%
P4 / P5 0.5% 0.6%
Indications
Osteoarthritis 90.20% 89.28%
Rheumatoid Arthritis 1.36% 1.55%
Other Inflammatory Arthropathy 2.37% 2.87%
Previous Trauma 4.99% 5.27%
Avascular Necrosis 1.31% 1.86%
Other 1.67% 2.22%
Total of indications may exceed total number of implants, since more than one indication can be listed per
case.
Patient / Procedure Details
C-Stem AMT - Pinnacle vs. All other Hybrid hips
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Bespoke Report on:
Reasons for Revision
Reasons for revision of primary procedures in which the implant was used.
Revised† Revised /
Expected*Revised
† Revised /
Expected*
Unexplained Pain 8 0.81 330 1.01 0.745
Dislocation / Subluxation 56 0.89 1140 1.01 0.436
Adverse Soft Tissue Reaction 3 0.87 85 1.01 1
Infection 46 0.80 953 1.01 0.119
Aseptic Loosening - Stem 6 0.56 327 1.01 0.162
Aseptic Loosening - Socket 7 0.66 316 1.01 0.346
Periprosthetic Fracture Stem 48 1.02 935 1.00 0.881
Periprosthetic Fracture Socket 6 0.81 116 1.01 0.707
Malalignment Stem 9 1.85 83 0.95 0.061
Malalignment Socket 13 1.17 239 0.99 0.538
Wear Of Acetabular Component 5 0.96 190 1.00 1
Lysis Stem 1 0.33 121 1.02 0.38
Lysis Socket 2 1.07 81 1.00 0.712
Implant Fracture Stem 0 0.00 103 1.03 0.119
Implant Fracture Socket 2 1.32 35 0.99 0.663
Implant Fracture Head 1 0.81 28 1.01 1
Dissociation of Liner 7 1.99 69 0.95 0.089
Other / reason not recorded 9 1.08 151 1.00 0.722
Total Revised 193 0.89 4282 1.01 0.102
† multiple reasons may be listed for one revision procedure
Significantly better, p < 0.001
Significantly better, p < 0.05
Significantly worse p < 0.05
Significantly worse p < 0.001
Components Revised
Femoral only 59 30.6% 1257 29.4%
Acetabular only 37 19.2% 874 20.4%
Both femoral and acetabular 63 32.6% 1598 37.3%
Neither femoral nor acetabular
revision recorded *34 17.6% 553 12.9%
* includes isolated head and/or liner exchange
C-Stem AMT - Pinnacle All other Hybrid hips
Reason for Revision p value
C-Stem AMT - Pinnacle vs. All other Hybrid hips
Revision and Survivorship
C-Stem AMT - Pinnacle All other Hybrid hips
* Logrank comparison, adjusted for Patient
Gender, Age Group, Implantation year, and
Indications (OA/non-OA)
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Bespoke Report on: C-Stem AMT - Pinnacle vs. All other Hybrid hips
Endpoint: Revision for any reason
Observed Expected Observed Expected
Unadjusted 193 215.0 4282 4260.0 0.123
Adjusted 193 216.8 4282 4258.2 0.093
AdjustmentHazard Ratio
(95% CI)p -value
0.89
(0.77 - 1.03)
0.88
(0.76 - 1.02)
Adjustment includes Patient Gender, Age Group, Implantation year, and Indications (OA/non-OA)
Unadjusted 0.123
Adjusted 0.094
Stratified Log-rank test, with observed and expected number of revisions
AdjustmentC-Stem AMT - Pinnacle All other Hybrid hips
p -value
Cox Proportional Hazards model for revision risk ratio of
C-Stem AMT - Pinnacle / All other Hybrid hips
0.0%
0.5%
1.0%
1.5%
2.0%
2.5%
3.0%
3.5%
4.0%
4.5%
0 2 4 6 8 10 12
Cu
mu
lati
ve R
evis
ion
Rat
e
Implantation time / years
95% confidence interval 95% confidence interval
All other Hybrid hips C-Stem AMT - Pinnacle
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Bespoke Report on: C-Stem AMT - Pinnacle vs. All other Hybrid hips
Endpoint: Revision for any reason
At Risk Revision Rate At Risk Revision Rate
0 16,782 - 240,005 -
1 12,744 0.68% (0.56% - 0.81%) 205,957 0.78% (0.74% - 0.81%)
2 9,605 0.95% (0.81% - 1.11%) 175,618 1.05% (1.01% - 1.10%)
3 7,086 1.19% (1.02% - 1.39%) 146,520 1.28% (1.23% - 1.32%)
4 5,038 1.40% (1.19% - 1.63%) 120,170 1.51% (1.45% - 1.56%)
5 3,407 1.60% (1.36% - 1.88%) 97,561 1.73% (1.67% - 1.79%)
6 2,266 1.76% (1.48% - 2.06%) 78,125 1.94% (1.87% - 2.01%)
7 1,508 1.91% (1.59% - 2.28%) 62,971 2.17% (2.10% - 2.25%)
8 1,002 2.32% (1.87% - 2.82%) 50,443 2.44% (2.35% - 2.53%)
9 649 2.32% (1.87% - 2.94%) 39,535 2.74% (2.64% - 2.84%)
10 434 2.50% (1.96% - 3.18%) 30,196 3.05% (2.93% - 3.16%)
11 306 2.75% (2.07% - 3.63%) 22,262 3.41% (3.28% - 3.55%)
12 213 2.75% (2.07% - 3.81%) 15,456 3.83% (3.67% - 4.00%)
13 82 2.75% (2.07% - 4.44%) 9,833 4.13% (3.95% - 4.32%)
14 ( - ) 5,472 4.51% (4.28% - 4.74%)
15 ( - ) 2,443 5.14% (4.81% - 5.50%)
Cumulative revision rate with 95% confidence intervals
Rate is only reported for times where more than 40 remain at risk
Revision and Survivorship
Cumulative Revision Rate
Period
/years
C-Stem AMT - Pinnacle All other Hybrid hips
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Bespoke Report on:
PROMs Analysis Comprising PROMs data up to: 29 March 2018
Oxford Hip Score
(0 - 48)C-Stem AMT - Pinnacle All other Hybrid hips
Paired Records 4,457 56,881
PreOp score 18.6 (18.3 - 18.8) 17.9 (17.8 - 18.0)
6 month score 40.5 (40.3 - 40.8) 39.8 (39.8 - 39.9)
6 month score (adjusted) 40.2 (39.9 - 40.4) 39.9 (39.8 - 39.9)
Health gain 22.0 (21.7 - 22.3) 21.9 (21.9 - 22.0)
Health gain (adjusted) 22.1 (21.9 - 22.4) 21.9 (21.8 - 21.9)
p value (adjusted health gain)
Score Improved 97.7% 97.6%
EQ-5D Index
(-0.59 - 1.00)C-Stem AMT - Pinnacle All other Hybrid hips
Paired Records 4,072 52,345
PreOp score 0.378 (0.368 - 0.388) 0.351 (0.348 - 0.354)
6 month score 0.815 (0.808 - 0.822) 0.801 (0.799 - 0.803)
6 month score (adjusted) 0.803 (0.796 - 0.809) 0.802 (0.800 - 0.804)
Health gain 0.437 (0.427 - 0.448) 0.450 (0.447 - 0.453)
Health gain (adjusted) 0.448 (0.442 - 0.455) 0.447 (0.445 - 0.449)
p value (adjusted health gain)
Score Improved 89.4% 90.5%
EQ-VAS
(0 - 100)C-Stem AMT - Pinnacle All other Hybrid hips
Paired Records 3,866 50,357
PreOp score 66.1 (65.4 - 66.8) 64.8 (64.7 - 65.0)
6 month score 78.5 (77.9 - 79.0) 77.3 (77.2 - 77.5)
6 month score (adjusted) 77.6 (77.1 - 78.1) 77.4 (77.2 - 77.5)
Health gain 12.3 (11.6 - 13.1) 12.5 (12.3 - 12.7)
Health gain (adjusted) 12.6 (12.1 - 13.1) 12.3 (12.2 - 12.5)
p value (adjusted health gain)
Score Improved 66.9% 66.7%
Adjusted scores correspond to the NHS Digital version 3 casemix-adjustment model. This includes patient
variables from PROMs, HES, and IMD data.
C-Stem AMT - Pinnacle vs. All other Hybrid hips
Patient Reported Outcomes
0.077
0.94
0.75
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Bespoke report on:
Responses are not case mix adjusted
Chi-squared p-value for difference: 0.646
Answer to 6-months general health question: Overall, how are your
problems now, compared to before your operation?
C-Stem AMT - Pinnacle vs. All other Hybrid hips
Patient Reported Outcomes
Chi-squared p-value for difference: 0.037
Answer to 6-months general health question: How would you describe
the results of your operation?
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
C-Stem AMT -Pinnacle
All other Hybridhips
Success
Much worse
A little worse
About the same
A little better
Much better
0%
10%
20%
30%
40%
50%
60%
70%
80%
90%
100%
C-Stem AMT -Pinnacle
All other Hybridhips
Satisfaction
Poor
Fair
Good
Very Good
Excellent
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Bespoke Report on: C-Stem AMT - Pinnacle vs. All other Hybrid hips
Disclaimer
Disclaimer
The National Joint Registry (NJR) produces this report through its contractor, Northgate Public Services (UK)
Limited (NPS) using data collected, collated and provided by third parties. As a result, neither NJR or NPS takes
any responsibility for the accuracy, currency, reliability and correctness of any data used or referred to in this
report, and disclaims all warranties in relation to such data, in each case to the maximum extent permitted by
legislation.
To the maximum extent permitted by law, neither the NJR or NPS shall have any liability (including but not
limited to liability by reason of negligence) for any loss, damage, cost or expense incurred or arising by reason of
any person using or relying on the data within this report and whether caused by reason of any error, omission
or misrepresentation in the report or otherwise. This report is not to be taken as advice. Third parties using or
relying on the data in this report do so at their own risk and will be responsible for making their own
assessment and should verify all relevant representations, statements and information with their own
professional advisers.
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Catalogue Number
Appendix A1
Description
Number Implanted
CUPS
121701048 PINNACLE SHELL 100 48mm 363
121701050 PINNACLE SHELL 100 50mm 532
121701052 PINNACLE SHELL 100 52mm 565
121701054 PINNACLE SHELL 100 54mm 474
121701056 PINNACLE SHELL 100 56mm 337
121701058 PINNACLE SHELL 100 58mm 172
121701060 PINNACLE SHELL 100 60mm 47
121701062 PINNACLE SHELL 100 62mm 18
121701064 PINNACLE SHELL 100 64mm 4
121702052 PINNACLE SECTOR ACET CUP 52MM 2
121702054 PINNACLE SECTOR ACET CUP 54MM 1
121702056 PINNACLE SECTOR ACET CUP 56MM 1
121702060 PINNACLE SECTOR ACET CUP 60MM 1
121703048 PINNACLE SHELL 300 48mm 28
121703050 PINNACLE SHELL 300 50mm 33
121703052 PINNACLE SHELL 300 52mm 18
121703054 PINNACLE SHELL 300 54mm 15
121703056 PINNACLE SHELL 300 56mm 13
121703058 PINNACLE SHELL 300 58mm 7
121711048 PINN 100 HA ACET CUP 48MM 287
121711050 PINN 100 HA ACET CUP 50MM 422
121711052 PINN 100 HA ACET CUP 52MM 629
121711054 PINN 100 HA ACET CUP 54MM 513
121711056 PINN 100 HA ACET CUP 56MM 357
121711058 PINN 100 HA ACET CUP 58MM 180
121711060 PINN 100 HA ACET CUP 60MM 61
121711062 PINN 100 HA ACET CUP 62MM 25
121711064 PINN 100 HA ACET CUP 64MM 9
121711066 PINN 100 HA ACET CUP 66MM 1
121712048 PINN SECTOR HA ACET CUP 48MM 601
121712050 PINN SECTOR HA ACET CUP 50MM 1128
121712052 PINN SECTOR HA ACET CUP 52MM 1718
121712054 PINN SECTOR HA ACET CUP 54MM 1288
121712056 PINN SECTOR HA ACET CUP 56MM 900
121712058 PINN SECTOR HA ACET CUP 58MM 457
121712060 PINN SECTOR HA ACET CUP 60MM 174
121712062 PINN SECTOR HA ACET CUP 62MM 57
121712064 PINN SECTOR HA ACET CUP 64MM 21
121712066 PINN SECTOR HA ACET CUP 66MM 5
121716062 PINNACLE REVISION SHELL W/GRIPTION 62MM 1
121716066 PINNACLE REVISION SHELL W/GRIPTION 66MM 1
121717058 PINNACLE DEEP PROFILE REVISION SHELL W/GRIPTION 58MM 1
121720042 PINN BANTAM CUP 42MM 1
121720044 PINN BANTAM CUP 44MM 33
121720046 PINN BANTAM CUP 46MM 113
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Catalogue Number
Appendix A1
Description
Number Implanted
121720048 PINNACLE SHELL MULTIHOLE 48mm 2
121720050 PINNACLE SHELL MULTIHOLE 50mm 5
121720052 PINNACLE SHELL MULTIHOLE 52mm 10
121720054 PINNACLE SHELL MULTIHOLE 54mm 4
121720056 PINNACLE SHELL MULTIHOLE 56mm 2
121720058 PINNACLE SHELL MULTIHOLE 58mm 3
121720060 PINNACLE SHELL MULTIHOLE 60mm 1
121722048 PINNACLE SHELL SECTOR 48mm 521
121722050 PINNACLE SHELL SECTOR 50mm 708
121722052 PINNACLE SHELL SECTOR 52mm 937
121722054 PINNACLE SHELL SECTOR 54mm 671
121722056 PINNACLE SHELL SECTOR 56mm 406
121722058 PINNACLE SHELL SECTOR 58mm 187
121722060 PINNACLE SHELL SECTOR 60mm 83
121722062 PINNACLE SHELL SECTOR 62mm 34
121722064 PINNACLE SHELL SECTOR 64mm 12
121722066 PINNACLE SHELL SECTOR 66mm 4
121730044 PINNACLE BANTAM SHELL W/GRIPTION 44MM 3
121730046 PINNACLE BANTAM SHELL W/GRIPTION 46MM 2
121730048 PINNACLE MULTIHOLE SHELL W/GRIPTION 48MM 29
121730050 PINNACLE MULTIHOLE SHELL W/GRIPTION 50MM 24
121730052 PINNACLE MULTIHOLE SHELL W/GRIPTION 52MM 51
121730054 PINNACLE MULTIHOLE SHELL W/GRIPTION 54MM 37
121730056 PINNACLE MULTIHOLE SHELL W/GRIPTION 56MM 24
121730058 PINNACLE MULTIHOLE SHELL W/GRIPTION 58MM 15
121730060 PINNACLE MULTIHOLE SHELL W/GRIPTION 60MM 16
121730062 PINNACLE MULTIHOLE SHELL W/GRIPTION 62MM 6
121730064 PINNACLE MULTIHOLE SHELL W/GRIPTION 64MM 3
121730066 PINNACLE MULTIHOLE SHELL W/GRIPTION 66MM 3
121730068 PINNACLE MULTIHOLE SHELL W/GRIPTION 68MM 2
121730070 PINNACLE MULTIHOLE SHELL W/GRIPTION 70MM 1
121731044 PINNACLE 100 SHELL W/GRIPTION 44MM 5
121731046 PINNACLE 100 SHELL W/GRIPTION 46MM 29
121731048 PINNACLE 100 SHELL W/GRIPTION 48MM 27
121731050 PINNACLE 100 SHELL W/GRIPTION 50MM 47
121731052 PINNACLE 100 SHELL W/GRIPTION 52MM 68
121731054 PINNACLE 100 SHELL W/GRIPTION 54MM 70
121731056 PINNACLE 100 SHELL W/GRIPTION 56MM 62
121731058 PINNACLE 100 SHELL W/GRIPTION 58MM 24
121731060 PINNACLE 100 SHELL W/GRIPTION 60MM 14
121731062 PINNACLE 100 SHELL W/GRIPTION 62MM 3
121731064 PINNACLE 100 SHELL W/GRIPTION 64MM 1
121732048 PINNACLE SECTOR SHELL W/GRIPTION 48MM 136
121732050 PINNACLE SECTOR SHELL W/GRIPTION 50MM 207
121732052 PINNACLE SECTOR SHELL W/GRIPTION 52MM 266
121732054 PINNACLE SECTOR SHELL W/GRIPTION 54MM 171
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Catalogue Number
Appendix A1
Description
Number Implanted
121732056 PINNACLE SECTOR SHELL W/GRIPTION 56MM 113
121732058 PINNACLE SECTOR SHELL W/GRIPTION 58MM 69
121732060 PINNACLE SECTOR SHELL W/GRIPTION 60MM 28
121732062 PINNACLE SECTOR SHELL W/GRIPTION 62MM 15
121732064 PINNACLE SECTOR SHELL W/GRIPTION 64MM 3
121732066 PINNACLE SECTOR SHELL W/GRIPTION 66MM 4
LINERS
121828048 PINNACLE ENDURON PE LINER NEUTRAL 48X28mm 22
121828050 PINNACLE ENDURON PE LINER NEUTRAL 50X28mm 53
121828052 PINNACLE ENDURON PE LINER NEUTRAL 52X28mm 27
121828054 PINNACLE ENDURON PE LINER NEUTRAL 54X28mm 18
121828056 PINNACLE ENDURON PE LINER NEUTRAL 56X28mm 15
121828058 PINNACLE ENDURON PE LINER NEUTRAL 58X28mm 3
121828060 PINNACLE ENDURON PE LINER NEUTRAL 60X28mm 7
121828148 PINNACLE ENDURON PE LINER +4 10 DEGREE 48X28mm 3
121828150 PINNACLE ENDURON PE LINER +4 10 DEGREE 50X28mm 2
121828152 PINNACLE ENDURON PE LINER +4 10 DEGREE 52X28mm 3
121828154 PINNACLE ENDURON PE LINER +4 10 DEGREE 54X28mm 1
121828156 PINNACLE ENDURON PE LINER +4 10 DEGREE 56X28mm 4
121828160 PINNACLE ENDURON PE LINER +4 10 DEGREE 60X28mm 1
121828248 PINNACLE ENDURON PE LINER LIPPED 48X28mm 24
121828250 PINNACLE ENDURON PE LINER LIPPED 50X28mm 46
121828252 PINNACLE ENDURON PE LINER LIPPED 52X28mm 51
121828254 PINNACLE ENDURON PE LINER LIPPED 54X28mm 37
121828256 PINNACLE ENDURON PE LINER LIPPED 56X28mm 32
121828258 PINNACLE ENDURON PE LINER LIPPED 58X28mm 8
121828260 PINNACLE ENDURON PE LINER LIPPED 60X28mm 5
121828262 PINNACLE ENDURON PE LINER LIPPED 62X28mm 5
121828264 PINNACLE ENDURON PE LINER LIPPED 64X28mm 1
121828454 PINNACLE ENDURON PE LINER +4 NEUTRAL 54X28mm 1
121828648 Pinnacle ESConstrained 28mm +4 GVF Liner OD 48mm 17
121828650 Pinnacle ESConstrained 28mm +4 GVF Liner OD 50mm 11
121828748 Pinnacle ESConstrained 28mm +4/10 Degree GVF Liner OD 48mm 1
121828750 Pinnacle ESConstrained 28mm +4/10 Degree GVF Liner OD 50mm 2
121832052 PINNACLE ENDURON PE LINER NEUTRAL 52X32mm 12
121832054 PINNACLE ENDURON PE LINER NEUTRAL 54X32mm 20
121832056 PINNACLE ENDURON PE LINER NEUTRAL 56X32mm 7
121832058 PINNACLE ENDURON PE LINER NEUTRAL 58X32mm 5
121832060 PINNACLE ENDURON PE LINER NEUTRAL 60X32mm 1
121832062 PINNACLE ENDURON PE LINER NEUTRAL 62X32mm 1
121832252 PINNACLE ENDURON PE LINER LIPPED 52X32mm 11
121832254 PINNACLE ENDURON PE LINER LIPPED 54X32mm 7
121832256 PINNACLE ENDURON PE LINER LIPPED 56X32mm 4
121832258 PINNACLE ENDURON PE LINER LIPPED 58X32mm 2
121832262 PINNACLE ENDURON PE LINER LIPPED 62X32mm 1
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Catalogue Number
Appendix A1
Description
Number Implanted
121832652 Pinnacle ESConstrained 32mm +4 Neutral GVF Liner OD 52mm 23
121832654 Pinnacle ESConstrained 32mm +4 Neutral GVF Liner OD 54mm 12
121832752 Pinnacle ESConstrained 32mm +4/10 Degree GVF Liner OD 52mm 1
121836656 Pinnacle ESConstrained 36mm +4 Neutral GVF Liner OD 56mm 12
121836658 Pinnacle ESConstrained 36mm +4 Neutral GVF Liner OD 58mm 5
121836660 Pinnacle ESConstrained 36mm +4 Neutral GVF Liner OD 60mm 2
121840662 PINNACLE GVF LINER +4 62X40mm 1
121840666 PINNACLE GVF LINER +4 66X40mm 1
121840766 PINNACLE GVF LINER +4 10 DEGREE 66X40mm 1
121881752 PINN DELTA CER INSRT 52ODX36ID 359
121881754 PINN DELTA CER INSRT 54ODX36ID 338
121881756 PINN DELTA CER INSRT 56ODX36ID 219
121881758 PINN DELTA CER INSRT 58ODX36ID 88
121881760 PINN DELTA CER INSRT 60ODX36ID 44
121881762 PINN DELTA CER INSRT 62ODX36ID 16
121881764 PINN DELTA CER INSRT 64ODX36ID 13
121881766 PINN DELTA CER INSRT 66ODX36ID 2
121882748 PINN DELTA CER INSERT 48ODX32ID 120
121882750 PINN DELTA CER INSERT 50ODX32ID 218
121882752 PINN DELTA CER INSRT 52ODX32ID 51
121883744 PINN DELTA CER INSRT 44ODX28ID 12
121883746 PINN DELTA CER INSRT 46ODX28ID 28
121883748 PINN DELTA CER INSRT 48ODX28ID 51
121883750 PINN DELTA CER INSRT 50ODX28ID 65
121883752 PINN DELTA CER INSRT 52ODX28ID 13
121883754 PINN DELTA CER INSRT 54ODX28ID 11
121883756 PINN DELTA CER INSRT 56ODX28ID 4
121883758 PINN DELTA CER INSRT 58ODX28ID 1
1219-32-148 Pinnacle Marathon PE Liner + 4 Neutral 32x48mm 14
121922042 PINN MAR NEUT 42ODX22.225ID 1
121926046 PINN MAR NEUT 46ODX26ID 1
121928044 Pinnacle Marathon PE Liner Neutral 44mm x 28mm 19
121928046 PINN MAR NEUT 46ODX28ID 93
121928048 PINNACLE MARATHON PE LINER NEUTRAL 48X28mm 367
121928050 PINNACLE MARATHON PE LINER NEUTRAL 50X28mm 481
121928052 PINNACLE MARATHON PE LINER NEUTRAL 52X28mm 221
121928054 PINNACLE MARATHON PE LINER NEUTRAL 54X28mm 125
121928056 PINNACLE MARATHON PE LINER NEUTRAL 56X28mm 70
121928058 PINNACLE MARATHON PE LINER NEUTRAL 58X28mm 25
121928060 PINNACLE MARATHON PE LINER NEUTRAL 60X28mm 11
121928062 PINNACLE MARATHON PE LINER NEUTRAL 62X28mm 2
121928144 Pinnacle Marathon PE Liner +4 10D 44mm x 28mm 8
121928146 PINN MAR +4 10D 46ODX28ID 22
121928148 PINNACLE MARATHON PE LINER +4 10 DEGREE 48X28mm 37
121928150 PINNACLE MARATHON PE LINER +4 10 DEGREE 50X28mm 47
121928152 PINNACLE MARATHON PE LINER +4 10 DEGREE 52X28mm 15
Page 13Ref: Bespoke.Comparison.Report.HP_C-Stem AMT - Pinnacle vs. All other Hybrid hips.10/12/2019.22:23
©2019 Northgate Public Services (UK) Limited
Catalogue Number
Appendix A1
Description
Number Implanted
121928154 PINNACLE MARATHON PE LINER +4 10 DEGREE 54X28mm 9
121928156 PINNACLE MARATHON PE LINER +4 10 DEGREE 56X28mm 3
121928248 PINNACLE MARATHON PE LINER LIPPED 48X28mm 685
121928250 PINNACLE MARATHON PE LINER LIPPED 50X28mm 887
121928252 PINNACLE MARATHON PE LINER LIPPED 52X28mm 241
121928254 PINNACLE MARATHON PE LINER LIPPED 54X28mm 125
121928256 PINNACLE MARATHON PE LINER LIPPED 56X28mm 93
121928258 PINNACLE MARATHON PE LINER LIPPED 58X28mm 45
121928260 PINNACLE MARATHON PE LINER LIPPED 60X28mm 11
121928262 PINNACLE MARATHON PE LINER LIPPED 62X28mm 5
121928264 PINNACLE MARATHON PE LINER LIPPED 64X28mm 1
121928448 PINNACLE MARATHON PE LINER +4 NEUTRAL 48X28mm 8
121928450 PINNACLE MARATHON PE LINER +4 NEUTRAL 50X28mm 13
121928452 PINNACLE MARATHON PE LINER +4 NEUTRAL 52X28mm 3
121928454 PINNACLE MARATHON PE LINER +4 NEUTRAL 54X28mm 3
121928456 PINNACLE MARATHON PE LINER +4 NEUTRAL 56X28mm 3
121928460 PINNACLE MARATHON PE LINER +4 NEUTRAL 60X28mm 1
121932052 PINNACLE MARATHON PE LINER NEUTRAL 52X32mm 814
121932054 PINNACLE MARATHON PE LINER NEUTRAL 54X32mm 486
121932056 PINNACLE MARATHON PE LINER NEUTRAL 56X32mm 260
121932058 PINNACLE MARATHON PE LINER NEUTRAL 58X32mm 153
121932060 PINNACLE MARATHON PE LINER NEUTRAL 60X32mm 44
121932062 PINNACLE MARATHON PE LINER NEUTRAL 62X32mm 20
121932064 PINNACLE MARATHON PE LINER NEUTRAL 64X32mm 8
121932150 Pinnacle Marathon PE Liner +4 10D 50mm x 32mm 33
121932152 PINNACLE MARATHON PE LINER +4 10 DEGREE 52X32mm 16
121932154 PINNACLE MARATHON PE LINER +4 10 DEGREE 54X32mm 25
121932156 PINNACLE MARATHON PE LINER +4 10 DEGREE 56X32mm 11
121932158 PINNACLE MARATHON PE LINER +4 10 DEGREE 58X32mm 12
121932160 PINNACLE MARATHON PE LINER +4 10 DEGREE 60X32mm 6
121932162 PINNACLE MARATHON PE LINER +4 10 DEGREE 62X32mm 1
121932252 PINNACLE MARATHON PE LINER LIPPED 52X32mm 1251
121932254 PINNACLE MARATHON PE LINER LIPPED 54X32mm 952
121932256 PINNACLE MARATHON PE LINER LIPPED 56X32mm 593
121932258 PINNACLE MARATHON PE LINER LIPPED 58X32mm 314
121932260 PINNACLE MARATHON PE LINER LIPPED 60X32mm 108
121932262 PINNACLE MARATHON PE LINER LIPPED 62X32mm 47
121932264 PINNACLE MARATHON PE LINER LIPPED 64X32mm 9
121932266 PINNACLE MARATHON PE LINER LIPPED 66X32mm 8
121932268 Pinnacle Marathon PE Liner Lipped 68mm x 32mm 1
121932448 PINNACLE MARATHON PE Liner +4 NEUTRAL 48/32mm 4
121932450 32MM MARATHON +4 10 DEGREE ES LINER OD 50MM 9
121932452 PINNACLE MARATHON PE LINER +4 NEUTRAL 52X32mm 9
121932454 PINNACLE MARATHON PE LINER +4NEUTRAL 54X32mm 13
121932456 PINNACLE MARATHON PE LINER +4 NEUTRAL 56X32mm 10
121932458 PINNACLE MARATHON PE LINER +4 NEUTRAL 58X32mm 4
Page 14Ref: Bespoke.Comparison.Report.HP_C-Stem AMT - Pinnacle vs. All other Hybrid hips.10/12/2019.22:23
©2019 Northgate Public Services (UK) Limited
Catalogue Number
Appendix A1
Description
Number Implanted
121932460 PINNACLE MARATHON PE LINER +4 NEUTRAL 60X32mm 7
121932464 PINNACLE MARATHON PE LINER +4 NEUTRAL 64X32mm 2
121936056 PINNACLE MARATHON PE LINER NEUTRAL 56X36mm 379
121936058 PINNACLE MARATHON PE LINER NEUTRAL 58X36mm 216
121936060 PINNACLE MARATHON PE LINER NEUTRAL 60X36mm 96
121936062 PINNACLE MARATHON PE LINER NEUTRAL 62X36mm 21
121936064 PINNACLE MARATHON PE LINER NEUTRAL 64X36mm 10
121936066 PINNACLE MARATHON PE LINER NEUTRAL 66X36mm 3
121936068 Pinnacle Marathon PE Liner Neutral 68mm x 36mm 1
121936070 Pinnacle Marathon PE Liner Neutral 70mm x 36mm 1
121936152 PINNACLE MARATHON PE LINER +4 10 DEGREE 52X36mm 79
121936154 PINNACLE MARATHON PE LINER +4 10 DEGREE 54X36mm 107
121936156 PINNACLE MARATHON PE LINER +4 10 DEGREE 56X36mm 92
121936158 PINNACLE MARATHON PE LINER +4 10 DEGREE 58X36mm 47
121936160 PINNACLE MARATHON PE LINER +4 10 DEGREE 60X36mm 19
121936162 PINNACLE MARATHON PE LINER +4 10 DEGREE 62X36mm 13
121936164 PINNACLE MARATHON PE LINER +4 10 DEGREE 64X36mm 3
121936166 PINNACLE MARATHON PE LINER +4 10 DEGREE 66X36mm 2
121936452 PINNACLE MARATHON PE LINER +4 NEUTRAL 52X36mm 20
121936454 PINNACLE MARATHON PE LINER +4 NEUTRAL 54X36mm 26
121936456 PINNACLE MARATHON PE LINER +4 NEUTRAL 56X36mm 19
121936458 PINNACLE MARATHON PE LINER +4 NEUTRAL 58X36mm 10
121936460 PINNACLE MARATHON PE LINER +4 NEUTRAL 60X36mm 2
121936462 PINNACLE MARATHON PE LINER +4 NEUTRAL 62X36mm 3
121936464 PINNACLE MARATHON PE LINER +4 NEUTRAL 64X36mm 1
1221-28-044 Pinnacle AltrX polyethylene liner neutral 28x44mm 2
1221-28-048 Pinnacle AltrX polyethylene liner neutral 28x48mm 1
1221-32-048 Pinnacle AltrX polyethylene liner neutral 32x48mm 629
1221-32-050 Pinnacle AltrX polyethylene liner neutral 32x50mm 1213
1221-32-052 Pinnacle AltrX polyethylene liner neutral 32x52mm 290
1221-32-054 Pinnacle AltrX polyethylene liner neutral 32x54mm 211
1221-32-056 Pinnacle AltrX polyethylene liner neutral 32x56mm 132
1221-32-058 Pinnacle AltrX polyethylene liner neutral 32x58mm 64
1221-32-060 Pinnacle AltrX polyethylene liner neutral 32x60mm 6
1221-32-062 Pinnacle AltrX polyethylene liner neutral 32x68mm 3
1221-32-064 Pinnacle AltrX polyethylene liner neutral 32x64mm 1
1221-32-148 Pinnacle AltrX polyethylene liner +4 10deg 32x48mm 10
1221-32-150 Pinnacle AltrX polyethylene liner +4 10deg 32x50mm 26
1221-32-152 Pinnacle AltrX polyethylene liner +4 10deg 32x52mm 2
1221-32-154 Pinnacle AltrX polyethylene liner +4 10deg 32x54mm 2
1221-32-252 Pinnacle AltrX polyethylene liner lipped 32x52mm 179
1221-32-254 Pinnacle AltrX polyethylene liner lipped 32x54mm 137
1221-32-258 Pinnacle AltrX polyethylene liner lipped 32x58mm 46
1221-32-260 Pinnacle AltrX polyethylene liner lipped 32x60mm 19
1221-32-262 Pinnacle AltrX polyethylene liner lipped 32x62mm 8
1221-32-264 Pinnacle AltrX polyethylene liner lipped 32x64mm 3
Page 15Ref: Bespoke.Comparison.Report.HP_C-Stem AMT - Pinnacle vs. All other Hybrid hips.10/12/2019.22:23
©2019 Northgate Public Services (UK) Limited
Catalogue Number
Appendix A1
Description
Number Implanted
1221-322-56 Pinnacle AltrX polyethylene liner lipped 32x56mm 97
1221-36-256 Pinnacle AltrX polyethylene liner lipped 36x56mm 34
1221-36-258 Pinnacle AltrX polyethylene liner lipped 36x58mm 11
1221-36-260 Pinnacle AltrX polyethylene liner lipped 36x60mm 8
1221-36-262 Pinnacle AltrX polyethylene liner lipped 36x62mm 1
1221-36-264 Pinnacle AltrX polyethylene liner lipped 36x64mm 1
122132450 Pinnacle AltrX polyethylene liner +4 32x50mm 1
122132452 Pinnacle AltrX polyethylene liner +4 32x52mm 1
122136052 Pinnacle AltrX polyethylene liner neutral 36x52mm 557
122136054 Pinnacle AltrX polyethylene liner neutral 36x54mm 567
122136056 Pinnacle AltrX polyethylene liner neutral 36x56mm 120
122136058 Pinnacle AltrX polyethylene liner neutral 36x58mm 49
122136060 Pinnacle AltrX polyethylene liner neutral 36x60mm 24
122136062 Pinnacle AltrX polyethylene liner neutral 36x62mm 12
122136064 Pinnacle AltrX polyethylene liner neutral 36x64mm 2
122136152 Pinnacle AltrX polyethylene liner +4 10deg 36x52mm 9
122136154 Pinnacle AltrX polyethylene liner +4 10deg 36x54mm 9
122136156 Pinnacle AltrX polyethylene liner +4 10deg 36x56mm 6
122136158 Pinnacle AltrX polyethylene liner +4 10deg 36x58m 1
122136160 Pinnacle AltrX polyethylene liner +4 10deg 36x60mm 6
122136452 Pinnacle AltrX polyethylene liner +4 36x52mm 1
122136454 Pinnacle AltrX polyethylene liner +4 36x54mm 1
122136456 Pinnacle AltrX polyethylene liner +4 36x56mm 1
122136458 Pinnacle AltrX polyethylene liner +4 36x58mm 1
122140456 Pinnacle AltrX polyethylene liner LD +4 40x56mm 1
STEMS
157004070 C-STEM AMT Std Offset Size 1 2563
157004085 C-STEM AMT Std Offset Size 2 3408
157004090 C-STEM AMT Std Offset Size 3 1885
157004100 C-STEM AMT Std Offset Size 4 666
157004110 C-STEM AMT Std Offset Size 5 157
157004120 C-STEM AMT Std Offset Size 6 34
157004135 C-STEM AMT Std Offset Size 7 12
157004150 C-STEM AMT Std Offset Size 8 6
157014070 C-STEM AMT High Offset Size 1 1470
157014085 C-STEM AMT High Offset Size 2 2651
157014090 C-STEM AMT High Offset Size 3 2456
157014100 C-STEM AMT High Offset Size 4 1060
157014110 C-STEM AMT High Offset Size 5 284
157014120 C-STEM AMT High Offset Size 6 90
157014135 C-STEM AMT High Offset Size 7 29
157014150 C-STEM AMT High Offset Size 8 9
157024060 C-STEM AMT RSA Std Offset Size 2 1
157024090 C-STEM AMT RSA Std Offset Size 5 1
Page 16Ref: Bespoke.Comparison.Report.HP_C-Stem AMT - Pinnacle vs. All other Hybrid hips.10/12/2019.22:23
©2019 Northgate Public Services (UK) Limited